Individual
CHERYL LYNN COSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1311 S MAIN ST STE 301, MOUNT AIRY, MD 21771-5464
(301) 607-9096
(301) 829-1320
Mailing address
1311 S MAIN ST STE 301, MOUNT AIRY, MD 21771-5464
(301) 607-9096
(301) 829-1320
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2559
MD
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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